MICHAEL GREGORY BLACKBURN

PUYALLUP, WA
NPI1063429652
Other NameMICHAEL G BLACKBURN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  MD00019306)
Enumeration Date2006-08-03
Last Update Date2019-07-18
Business Address
MICHAEL GREGORY BLACKBURN MD
201 15TH AVE SW STE C
PUYALLUP, WA 98371-7495
Phone number: 253-841-4243
Mailing Address
MICHAEL GREGORY BLACKBURN MD
201 15TH AVE SW STE C
PUYALLUP, WA 98371-7495
Phone number: 253-841-4243
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